| NPI | 1205393014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: IL 041.322139) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 209.019276) |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2019-06-10 |