NPI | 1457615361 |
---|---|
Former Name | NANCY SCHULTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277001202) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209009598) |
Enumeration Date | 2012-06-26 |
Last Update Date | 2024-10-08 |