| NPI | 1629668025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041.383117) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: IL 041.383117) |
| 163WH0200X Registered Nurse, Home Health (Licence: IL 041.383117) | |
| 163WI0500X Registered Nurse, Infusion Therapy (Licence: IL 041.383117) | |
| 163WW0000X Registered Nurse, Wound Care (Licence: IL 041.383117) | |
| 251E00000X Home Health | |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2023-07-15 |