| NPI | 1013324755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 083106) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14-77078-031) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2014-07-15 |