| NPI | 1942669064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041256721) |
| Additional Taxonomies | 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: IL 1757) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |