| NPI | 1720474869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 234126) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041386270) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-04-14 |