| NPI | 1619050960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 41191239) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM R20024) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-11-16 |