| NPI | 1811401581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041.4355332) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: IL 041.4355332) |
| 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: IL 041.4355332) | |
| 163WP0200X Registered Nurse, Pediatrics (Licence: IL 041.4355332) | |
| 163WS0121X Registered Nurse, Plastic Surgery (Licence: IL 041.4355332) | |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-16 |