| NPI | 1730901034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041.153805) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041153805) |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2024-10-28 |