| NPI | 1184379307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 1664944) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.479226) |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-02-16 |