NPI | 1285516807 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 2025036619) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: IL 2025036619) |
163WL0100X Registered Nurse, Lactation Consultant (Licence: IL 2025036619) | |
163WM0102X Registered Nurse, Maternal Newborn (Licence: IL 2025036619) | |
163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: IL 2025036619) | |
207Q00000X Family Medicine (Licence: IL 2025036619) | |
207QA0505X Family Medicine, Adult Medicine (Licence: IL 2025036619) | |
Enumeration Date | 2025-07-24 |
Last Update Date | 2025-07-24 |