| NPI | 1790104537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704298128) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-273116) |
| 163W00000X Registered Nurse (Licence: IN 28152908A) | |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |