| NPI | 1669879318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KS 76561) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 107055) |
| 163W00000X Registered Nurse (Licence: MO 2010006663) | |
| 163W00000X Registered Nurse (Licence: MO 2013044835) | |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2015-01-14 |