| NPI | 1407140791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WX1100X Registered Nurse, Ophthalmic (Licence: KS 13-108962-041) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: KS 13-108962-041) |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2011-06-03 |