NPI | 1992234306 |
---|---|
Former Name | LORIN G FLISK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277001022) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 277001022) |
363LF0000X Nurse Practitioner, Family (Licence: IL 209015534) | |
Enumeration Date | 2017-06-08 |
Last Update Date | 2024-05-03 |