| NPI | 1891256020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041478493) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704315107) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2019-04-24 |