| 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 |