| NPI | 1609247386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ RN159143) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041424749) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |