NPI | 1922596568 |
---|---|
Former Name | HANNAH J. ROTHE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209-017548) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209-017548) |
Enumeration Date | 2018-04-30 |
Last Update Date | 2020-10-18 |