NPI | 1992580047 |
---|---|
Former Name | HANNAH MARIANNE SYBIL GILLIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AK 210627) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 132706) |
Enumeration Date | 2023-08-28 |
Last Update Date | 2023-08-28 |