| NPI | 1811566482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KS 13-128184) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN-78822) |
| Enumeration Date | 2021-06-18 |
| Last Update Date | 2021-06-18 |