| NPI | 1639295322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9164519) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-307596) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |