NPI | 1437551470 |
---|---|
Other Name | LAURA LEE SICILIANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: IL 209004078) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041261981) |
Enumeration Date | 2014-09-22 |
Last Update Date | 2016-05-11 |