| NPI | 1356658991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041.252171) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041252171) |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2013-10-14 |