NPI | 1063610905 |
---|---|
Former Name | SUZANNE MICHELE JEFFERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: GA RN166823) |
Enumeration Date | 2007-07-03 |
Last Update Date | 2007-07-08 |