| NPI | 1467845230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 0189598) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041410915) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-03-23 |