NPI | 1598533515 |
---|---|
Former Name | ELIZABETH ANN GORSUCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209029075) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209.029075) |
Enumeration Date | 2023-12-19 |
Last Update Date | 2024-04-10 |