NPI | 1164894432 |
---|---|
Former Name | CHRISTINA R BYRNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A151253) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209013230) |
Enumeration Date | 2015-10-27 |
Last Update Date | 2019-01-04 |