NPI | 1780063917 |
---|---|
Former Name | LINDA HAMILTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-011866) |
Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: IL 209011866) |
Enumeration Date | 2015-05-20 |
Last Update Date | 2021-05-10 |