| NPI | 1851823256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041.170554) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 080481) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |