| NPI | 1386982346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041.222127) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 193696-30) |
| Enumeration Date | 2013-01-26 |
| Last Update Date | 2013-01-26 |