| NPI | 1205507571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 223892) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041223892) |
| Enumeration Date | 2021-09-25 |
| Last Update Date | 2021-09-25 |