NPI | 1447503487 |
---|---|
Former Name | JORI ANNE RETTERER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 377.001687) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 377.001687) |
Enumeration Date | 2012-10-15 |
Last Update Date | 2024-04-30 |