| NPI | 1063399228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 2022019243) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041541225) |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-08-19 |