| NPI | 1689685455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 082578) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14-73710-031) |
| 163W00000X Registered Nurse (Licence: KS 74635) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2007-07-08 |