| NPI | 1093339681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KS 13-135615-032) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60830283) |
| Enumeration Date | 2020-05-30 |
| Last Update Date | 2020-05-30 |