| NPI | 1033767207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041.469080) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95100961) |
| 163W00000X Registered Nurse (Licence: TX 821169) | |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2019-08-30 |