| NPI | 1366149742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KS 13-122218) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 273067) |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2023-02-15 |