| NPI | 1760055008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IL 043.089473) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: IL 043.089473) |
| 305S00000X Point of Service | |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2022-01-09 |