| NPI | 1134673551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041339634) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 128813) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2016-08-15 |