| NPI | 1912707381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041573861) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: OH 541674) |
| Enumeration Date | 2025-03-15 |
| Last Update Date | 2025-04-03 |