| NPI | 1205001641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1400X Registered Nurse, College Health (Licence: IL 041-325067) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: IL 041-325067) |
| 163WM0102X Registered Nurse, Maternal Newborn (Licence: IL 041325067) | |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-10-11 |