| NPI | 1720393531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KS 13-99577-042) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2006038591) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2010-08-17 |