| NPI | 1902363997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 2008029526) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041396590) |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2019-12-18 |