| NPI | 1790786978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse Medical-Surgical (Licence: KS 13-55897-072) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: KS 45199) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2008-07-30 |