NPI | 1114945029 |
---|---|
Former Name | JOANNE LYNN MERRILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP7859) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN296113) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2010-04-07 |