| NPI | 1588784474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: IL 041-155827) |
| Additional Taxonomies | 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: IL 041-155827) |
| 174400000X Specialist (Licence: IL 181-000233) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2009-10-07 |