NPI | 1548578339 |
---|---|
Former Name | CYNTHIA WASIK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209006922) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209006922) |
363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209006922) | |
Enumeration Date | 2010-09-15 |
Last Update Date | 2024-10-21 |