| NPI | 1598271280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041-232698) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IL 041-232698) |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2017-12-18 |