| NPI | 1417180126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KS 1490995081) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MO 2003010585) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2009-08-27 |