NPI | 1700363827 |
---|---|
Former Name | GINA CHRNKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277001729) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.017780) |
Enumeration Date | 2018-07-21 |
Last Update Date | 2025-01-03 |