| NPI | 1972194538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse Case Management (Licence: KS 97551) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 97551) |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2021-01-27 |