| NPI | 1558176420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 151854) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14-84052-021) |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-02-10 |