| NPI | 1083057095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 2009017419) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.199978) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2024-02-01 |