| NPI | 1457129090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KS 164172) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: KS 23-51046-112) |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2024-08-27 |