NPI | 1619531654 |
---|---|
Former Name | EMILY K REZABEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-018732) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.402455) |
363LF0000X Nurse Practitioner, Family (Licence: IL 209.018732) | |
Enumeration Date | 2019-04-25 |
Last Update Date | 2023-07-12 |