| NPI | 1215272604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NV RN63208) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL RN63208) |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2024-08-16 |