| NPI | 1386824597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IL 209006984) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IL 041300563) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2010-02-22 |