| NPI | 1306221320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 671369) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041405929) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2015-07-21 |