| NPI | 1003288275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IA 119215) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.367593) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |