| NPI | 1619190048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IL 043-072825) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: IL 043-072825) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2009-04-14 |