| NPI | 1487485280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IL 043103749) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: IL 043103749) |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-11-12 |