| NPI | 1184264749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041364224) |
| Additional Taxonomies | 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: IL 041364224) |
| 163WC1500X Registered Nurse Community Health (Licence: IL 041364224) | |
| 163WN1003X Registered Nurse Nutrition Support (Licence: IL 041364224) | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: IL 041364224) | |
| Enumeration Date | 2020-01-12 |
| Last Update Date | 2020-08-27 |