NPI | 1619529104 |
---|---|
Former Name | KELSIE J BIAGI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209019271) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209019271) |
Enumeration Date | 2019-07-15 |
Last Update Date | 2022-02-08 |