| NPI | 1710378666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: KS 14-118210-112) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MO 2010034805) |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2015-02-13 |