NPI | 1336772052 |
---|---|
Former Name | MONICA RAUCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209024635) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: IL 041.427609) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-02-20 |
Last Update Date | 2022-08-02 |