NPI | 1215177423 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WR0400X Registered Nurse, Rehabilitation (Licence: IL 041253832) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041253832) |
Enumeration Date | 2009-02-27 |
Last Update Date | 2009-02-27 |