NPI | 1023346582 |
---|---|
Former Name | LAURA K TESKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IL 209-006714) |
Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: IL 209006714041325322) |
Enumeration Date | 2009-11-20 |
Last Update Date | 2021-03-15 |