| NPI | 1427685775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 2011018337) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041392381) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2020-03-26 |