| NPI | 1134126675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 1358702) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041156426) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2007-07-08 |