NPI | 1689180978 |
---|---|
Former Name | HOPE JAHN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209016944) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209016944) |
Enumeration Date | 2017-12-21 |
Last Update Date | 2025-02-11 |