| NPI | 1922495191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: IL 041.363706) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: IL 041.363706) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2015-04-29 |