| NPI | 1578255212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041.533271) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704400277) |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2023-05-22 |