NPI | 1477179927 |
---|---|
Former Name | REBECCA ANN BAIETTO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.023725) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2020-06-21 |
Last Update Date | 2024-04-02 |