| NPI | 1548758352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KS 14-120167-031) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2011033030) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2018-04-26 |