| NPI | 1548405400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 172223-030) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.389267) |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2011-01-18 |