| NPI | 1205210846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 701854) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.270882) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2015-07-14 |