| NPI | 1194033654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: LA 119855) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 133471) |
| 163W00000X Registered Nurse (Licence: IL 041326118) | |
| Enumeration Date | 2010-09-18 |
| Last Update Date | 2010-09-18 |