| NPI | 1972269967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: IL 020014841) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: IL 020014841) |
| 172V00000X Community Health Worker (Licence: IL 020014841) | |
| 174H00000X Health Educator (Licence: IL 020014841) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: IL 020014841) | |
| 251E00000X Home Health (Licence: IL 020014841) | |
| 251K00000X Public Health or Welfare (Licence: IL 020014841) | |
| 253Z00000X In Home Supportive Care (Licence: IL 020014841) | |
| 261QC1500X Clinic/Center, Community Health (Licence: IL 020014841) | |
| 261QD0000X Clinic/Center, Dental (Licence: IL 020014841) | |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: IL 020014841) | |
| 261QH0100X Clinic/Center, Health Services (Licence: IL 020014841) | |
| 261QP0904X Clinic/Center, Public Health, Federal (Licence: IL 020014841) | |
| 261QP0905X Clinic/Center, Public Health, State or Local (Licence: IL 020014841) | |
| Enumeration Date | 2021-11-13 |
| Last Update Date | 2021-11-13 |