| NPI | 1467103655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041480604) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN753326) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2022-03-10 |