| NPI | 1720202369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IA 077683) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IL 041.246874) |
| 163WC0400X Registered Nurse, Case Management (Licence: IL 041.246874) | |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2009-04-17 |