NPI | 1497803175 |
---|---|
Former Name | GINGER GILLETTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 101-0109301) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VT 101.0109301) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2023-02-22 |