| NPI | 1902649577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: KY 2054690) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 2054690) |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2024-08-01 |