| NPI | 1861013419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KS 75607) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 14-129187-022) |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |