NPI | 1154796902 |
---|---|
Former Name | JEAN SLANA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209013389) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1635912) |
363LA2100X Nurse Practitioner, Acute Care (Licence: CO APN.0992017-NP) | |
Enumeration Date | 2015-12-04 |
Last Update Date | 2024-06-20 |