| NPI | 1134593114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 099681) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041332146) |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2015-11-13 |