| NPI | 1902018765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WX0800X Registered Nurse, Orthopedic (Licence: IL 041234356) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209000758) |
| 364S00000X Clinical Nurse Specialist (Licence: IL 209000785) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |