NPI | 1306358924 |
---|---|
Former Name | ILONA WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9338266) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ARNP9338266) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL 9338266) | |
363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9338266) | |
Enumeration Date | 2017-11-05 |
Last Update Date | 2024-06-07 |