| NPI | 1497104590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 2016016454) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-135170-042) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-06-09 |