| NPI | 1093305062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9562775) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041403333) |
| 163WH0200X Registered Nurse, Home Health (Licence: FL 736) | |
| 163WI0500X Registered Nurse, Infusion Therapy (Licence: FL 777) | |
| Enumeration Date | 2021-01-22 |
| Last Update Date | 2024-08-03 |