| NPI | 1134833304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KS 132318) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: KS A-087-220) |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2023-01-11 |