NPI | 1346689072 |
---|---|
Former Name | JUDITH A HAMILTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209010258) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041270823) |
Enumeration Date | 2013-06-16 |
Last Update Date | 2018-02-26 |