| NPI | 1598448995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704361403) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 28232769A) |
| Enumeration Date | 2023-08-11 |
| Last Update Date | 2023-08-11 |