NPI | 1609217660 |
---|---|
Former Name | VICKI M SCHWAB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209029334) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704246582) |
363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704246582) | |
Enumeration Date | 2013-07-08 |
Last Update Date | 2024-07-25 |