| NPI | 1992077119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 160574-30) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-363672) |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-02-03 |