| NPI | 1780072744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KY 1173119) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: KY 2034684) |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2022-08-27 |