| NPI | 1386459402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KS 13144098072) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 232319) |
| Enumeration Date | 2025-02-07 |
| Last Update Date | 2025-02-07 |