| NPI | 1992110969 |
|---|---|
| Former Name | NANCY GILLIAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005065A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28188713A) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2021-05-25 |