| NPI | 1669913505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KS 71232) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 132194) |
| Enumeration Date | 2017-03-11 |
| Last Update Date | 2017-03-11 |