NPI | 1841638079 |
---|---|
Former Name | XIOMARA ESTHER MASON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209010089) |
Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: IL 041274161) |
163WC0400X Registered Nurse, Case Management (Licence: IL 041274161) | |
163WC1500X Registered Nurse, Community Health (Licence: IL 041274161) | |
Enumeration Date | 2013-06-10 |
Last Update Date | 2016-08-16 |