NPI | 1972057925 |
---|---|
Former Name | KAREN GRIESBAUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-014583) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209.014583) |
Enumeration Date | 2016-08-08 |
Last Update Date | 2023-07-12 |