NPI | 1013121177 |
---|---|
Former Name | ANN HARVEY SPEVACEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209002533) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-215814) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2021-12-20 |