| NPI | 1609514686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041.507246) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 108264) |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2022-05-20 |