| NPI | 1659639862 |
|---|---|
| Former Name | COLLETTE ANN ANSTETH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL MK2598069) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209.009393) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2021-12-22 |