| NPI | 1851839922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041.413578) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28219841A) |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2017-02-08 |