| NPI | 1790489839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: KS 2335381) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: KS 23-35381) |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2023-03-30 |