| NPI | 1083164297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 2014000877) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041418081) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2016-10-12 |