| NPI | 1073328415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 2014008521) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-121135-032) |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-02-12 |