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 |