| NPI | 1457933806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KS 167175) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: KS 46616) |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2025-12-01 |