| NPI | 1912407966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 187476-30) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.358458) |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2018-02-16 |