| NPI | 1114279239 |
|---|---|
| Former Name | BARBARA JANE THREATT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL FL 1726782) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA 073367RN) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2012-10-12 |