| NPI | 1912204603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: KS 13-61462) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: MO 129878) |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2013-03-04 |