NPI | 1396357588 |
---|---|
Former Name | MADISON SCHAEFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209021805) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209.021805) |
Enumeration Date | 2020-08-19 |
Last Update Date | 2025-03-10 |