| NPI | 1609467141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041-295216) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 111979) |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2021-01-28 |