| NPI | 1538309232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse Community Health (Licence: KS 1382578081) |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: MO 2000168770) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2009-02-20 |