| NPI | 1477088706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041391318) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: IL 041391318) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-04-25 |