NPI | 1811357833 |
---|---|
Former Name | JODI GALE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209020922) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2016006912) |
Enumeration Date | 2016-03-03 |
Last Update Date | 2020-05-12 |