| NPI | 1720825854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041.467378) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1657206) |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2024-07-15 |