| NPI | 1285010173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 2010021023) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-108016-041) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-08-03 |