NPI | 1104121201 |
---|---|
Former Name | CHIMERE HAMILTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 350717) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 298189) |
Enumeration Date | 2011-01-20 |
Last Update Date | 2023-06-02 |