| NPI | 1992947543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO RN136643) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-294105) |
| 163W00000X Registered Nurse (Licence: KS 101077) | |
| Enumeration Date | 2009-03-28 |
| Last Update Date | 2009-03-28 |