NPI | 1760052310 |
---|---|
Former Name | JOANNA KAE HILDEBRANSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209027119) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2021032483) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-06-27 |
Last Update Date | 2024-03-19 |