| NPI | 1124685086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041.252327) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 252327) |
| 163W00000X Registered Nurse (Licence: IL 041) | |
| 163W00000X Registered Nurse (Licence: IL RN252327) | |
| 163W00000X Registered Nurse (Licence: IL RN041.252327) | |
| 163W00000X Registered Nurse (Licence: IL RN-252327) | |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2019-05-24 |