| NPI | 1982617148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041307711) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: IL 041307711) |
| 163W00000X Registered Nurse (Licence: CO 191235) | |
| 163W00000X Registered Nurse (Licence: AZ 125452) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2011-05-17 |