| NPI | 1790489789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IA 119920) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041506484) |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2023-03-27 |