NPI | 1699715706 |
---|---|
Former Name | JACQUELINE G DEMPSEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209001516) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 41177965) |
363LF0000X Nurse Practitioner, Family (Licence: IL 209001516) | |
Enumeration Date | 2006-06-07 |
Last Update Date | 2011-04-22 |