| NPI | 1700554706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: IL 041.467231) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IL 041.467231) |
| 163WG0000X Registered Nurse, General Practice (Licence: IL 041.467231) | |
| 163WS0121X Registered Nurse, Plastic Surgery (Licence: IL 041.467231) | |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2021-09-03 |