| NPI | 1780258319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IA 163444) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: IL 041472392) |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2021-05-18 |