| NPI | 1356722631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 699264) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.419837) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2015-06-12 |