| NPI | 1821563503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KY 116209) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2025-10-01 |