NPI | 1518231505 |
---|---|
Former Name | JULIANNE DESCHLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 277000783) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: IL 041369484) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209009374) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209.009374 041.36948) | |
Enumeration Date | 2012-03-08 |
Last Update Date | 2021-01-04 |