| NPI | 1255771846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 150651) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.306866) |
| 163W00000X Registered Nurse (Licence: FL RN9284625) | |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2013-06-27 |