| NPI | 1932732237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IL 043.090690) |
| Additional Taxonomies | 177F00000X Lodging |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 282J00000X Religious Nonmedical Health Care Institution | |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-02-15 |
| Last Update Date | 2020-02-15 |