NPI | 1184979544 |
---|---|
Former Name | DIANE MARIE CSAJAGHY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: IL 209.009618) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209009618) |
Enumeration Date | 2012-07-20 |
Last Update Date | 2024-10-09 |