| NPI | 1124739776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 233984) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041501933) |
| 163W00000X Registered Nurse (Licence: MN 2482382) | |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2022-12-05 |