| NPI | 1467939140 |
|---|---|
| Former Name | CONSTANCE A LEDVORA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209.017874) |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2024-04-26 |