| NPI | 1558734319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KS 14109570) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: KS 14109570) |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2015-11-02 |