| NPI | 1003326430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: IL 041.400848) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: IL 041.400848) |
| 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: IL 041.400848) | |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2017-10-12 |