| NPI | 1528754322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KS 100352) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2014001398) |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2023-04-14 |