| NPI | 1669916292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: IL 209015380) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041412754) |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2019-10-17 |