NPI | 1215184635 |
---|---|
Former Name | DARLA SPAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277001914) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2003016544) |
363L00000X Nurse Practitioner (Licence: MO F0608448) | |
363L00000X Nurse Practitioner (Licence: IL 209017245) | |
Enumeration Date | 2008-08-27 |
Last Update Date | 2025-09-04 |