| NPI | 1366764375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041.257480) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 112065-030) |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2010-02-17 |