| NPI | 1740722164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ TRN201660) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041327998) |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-11-16 |