| NPI | 1912730029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: LA RN155228) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041545224) |
| Enumeration Date | 2024-08-23 |
| Last Update Date | 2024-09-04 |