| NPI | 1831410935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 2003029099) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041254255) |
| Enumeration Date | 2010-06-13 |
| Last Update Date | 2010-06-13 |