| NPI | 1124780267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: IL 2534054) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.410123) |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2021-10-06 |