NPI | 1386386134 |
---|---|
Former Name | ALEXANDRA NOEL OSVATH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209025702) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041433151) |
Enumeration Date | 2022-04-12 |
Last Update Date | 2024-10-03 |