| NPI | 1457735185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KS 13-63305-082) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 146298) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2015-07-13 |