| NPI | 1700936713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: IL 041-343332) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: WA RN00151370) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-07-08 |