| NPI | 1629814264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 2014001455) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041527291) |
| Enumeration Date | 2024-07-03 |
| Last Update Date | 2024-07-03 |