| NPI | 1780131920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 2008021931) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14-106405-011) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2019-09-30 |