| NPI | 1023480811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 95055921) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95055921) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-10-20 |