| NPI | 1649031261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WV 110692) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041474887) |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-01-22 |