| NPI | 1528268265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IN 28147049A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-318931) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-07-20 |