| NPI | 1508401175 |
|---|---|
| Former Name | CHRISTINE S NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209019570) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209019570) |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2023-07-31 |