| NPI | 1528083342 |
|---|---|
| Former Name | REGINA ANSBRO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209006015) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209-006015) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2023-05-03 |