| NPI | 1063943397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 863776) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041420969) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-27 |