NPI | 1952576944 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IL PN-043080693) |
Additional Taxonomies | 251E00000X Home Health (Licence: IL PN-043080693) |
Enumeration Date | 2008-04-29 |
Last Update Date | 2010-08-27 |