| NPI | 1336587831 |
|---|---|
| Former Name | THERESA L PERCY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IL 041.296842) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.296842) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2013-06-11 |