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, Psych/Mental Health, Child & Adolescent (Licence: IL 041.400848) | |
Enumeration Date | 2017-10-12 |
Last Update Date | 2017-10-12 |