| NPI | 1609767524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041.522123) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704412808) |
| 163W00000X Registered Nurse (Licence: WI 1112349-30) | |
| 163W00000X Registered Nurse (Licence: NY 967979) | |
| 163W00000X Registered Nurse (Licence: CA 95401275) | |
| Enumeration Date | 2025-07-10 |
| Last Update Date | 2025-07-10 |