| NPI | 1023412913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IL 043056007) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2014-10-21 |