NPI | 1962734715 |
---|---|
Former Name | JULIA L ZAUCHE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: IL 209008028) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: IL 209008028) |
Enumeration Date | 2010-02-04 |
Last Update Date | 2013-05-01 |