| NPI | 1992824569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 014-226592) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IL 014-226592) |
| 171M00000X Case Manager/Care Coordinator (Licence: IL 014-226592) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2009-04-14 |