| NPI | 1659544153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041-328978) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2022-01-06 |