NPI | 1164736047 |
---|---|
Former Name | SUSAN BIANCHI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209007271) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209007271) |
Enumeration Date | 2010-08-03 |
Last Update Date | 2018-06-22 |