| NPI | 1134528086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 174653-30) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.409560) |
| Enumeration Date | 2014-08-16 |
| Last Update Date | 2014-08-16 |