| NPI | 1538329735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 121004) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041314462) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2008-06-11 |