| NPI | 1255454278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IL 041-282203) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-282203) |
| 163WC0400X Registered Nurse, Case Management (Licence: IL 041-282203) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2009-04-14 |