| NPI | 1558752881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: IL 209003594) |
| Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: IL 041.283659) |
| 163WX0800X Registered Nurse, Orthopedic (Licence: IL 209.003594) | |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2015-09-30 |