| NPI | 1780790733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041-290798) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2001023975) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2007-07-08 |