| NPI | 1629344213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041.176095) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.006392) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-03-28 |