NPI | 1013368604 |
---|---|
Former Name | JANNY FOLK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5012633) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209013930) |
Enumeration Date | 2016-06-25 |
Last Update Date | 2020-06-13 |