| NPI | 1922726355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KY 4020249) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: 2055870) |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2025-01-27 |