| NPI | 1669989463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 928215) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041438833) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-01-03 |