| NPI | 1598204471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IL 043071157) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: IL 043071157) |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-24 |