| NPI | 1184964934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 170155-030) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-225977) |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2013-02-14 |