| NPI | 1982088159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO RN.1633435) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.327942) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-24 |