NPI | 1376977371 |
---|---|
Former Name | ANITA CLOYD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209.010639) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209.010639) |
Enumeration Date | 2013-08-26 |
Last Update Date | 2025-05-14 |