| NPI | 1790998029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041-171348) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: IL 209-00646) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-07-08 |