| NPI | 1407517121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: IL 2023-N1952) |
| Additional Taxonomies | 163WR0400X Registered Nurse, Rehabilitation (Licence: IL 2023-N1952) |
| 172V00000X Community Health Worker | |
| 163WH0200X Registered Nurse, Home Health (Licence: IL 2023-N1952) | |
| 163W00000X Registered Nurse (Licence: IL 2023-N1952) | |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2023-06-30 |