NPI | 1013925239 |
---|---|
Former Name | DIANE M HARTWIG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-001273) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209-001273) |
Enumeration Date | 2006-08-03 |
Last Update Date | 2022-07-21 |