| NPI | 1457975450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 2015020010) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14-133813-061) |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-06-04 |