| NPI | 1114171485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041399438) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IL 043105177) |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2023-03-20 |