| NPI | 1992099295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: KS 13-102753-081) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: KS 13-102753-081) |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2011-06-03 |