NPI | 1407906126 |
---|---|
Former Name | CATHY JO IRELAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 277.000637) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209001646) |
Enumeration Date | 2007-01-12 |
Last Update Date | 2021-07-14 |