NPI | 1073738191 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041-341375) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041341375) |
Enumeration Date | 2007-04-16 |
Last Update Date | 2021-04-15 |