| NPI | 1639873656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KS 14-154036-081) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2015021072) |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2023-03-27 |