| NPI | 1942503602 |
|---|---|
| Former Name | CLARA DIANE TIMM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277000768) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 277.000768) |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2023-08-24 |