| NPI | 1679885859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041326690) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: IL 041326690) |
| 163WG0600X Registered Nurse, Gerontology (Licence: IL 041326690) | |
| 163WH0200X Registered Nurse, Home Health (Licence: IL 041326690) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IL 041326690) | |
| Enumeration Date | 2010-07-05 |
| Last Update Date | 2010-07-05 |