| NPI | 1649809617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: IL 041230252) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH 166595) |
| 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: OH 166595) | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: IL 041230252) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH 166595) | |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-04-24 |