| NPI | 1124989462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IA 110703) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041372455) |
| Enumeration Date | 2025-11-18 |
| Last Update Date | 2025-11-19 |