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 |