| NPI | 1770224982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: KY 2039581) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: KY 2039581) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2024-08-02 |