| NPI | 1184032260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 074190) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041162061) |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2014-08-01 |