NPI | 1306531280 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: IL 041480211) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IL 041480211) |
163WH0200X Registered Nurse, Home Health (Licence: IL 041480211) | |
Enumeration Date | 2023-04-07 |
Last Update Date | 2023-04-07 |