| NPI | 1912427428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IN 28235143A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.429529) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2017-06-26 |