| 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 |