| NPI | 1629854559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 628038) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041478716) |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2023-09-06 |