| NPI | 1801373337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 4000553) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: IL 4000553) |
| 164W00000X Licensed Practical Nurse (Licence: IL 4000553) | |
| 376K00000X Nurse's Aide (Licence: IL 4000553) | |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |