| NPI | 1568115863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041.518258) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 140742) |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2022-01-27 |