| NPI | 1104138650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041.381176) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 194764) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2010-07-12 |