| NPI | 1649487877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IL 041312252) |
| Additional Taxonomies | 364SA2100X Clinical Nurse Specialist Acute Care (Licence: IL 209005511) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2008-12-18 |