| NPI | 1447406939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO RN126217) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL IL041364234) |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2008-08-15 |