| NPI | 1346586047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KS 13-57494) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ND R37219) |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2012-12-27 |