NPI | 1174531289 |
---|---|
Former Name | JEANLEE F FERRO, BEANMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: UT 202382-4405) |
Enumeration Date | 2006-08-04 |
Last Update Date | 2017-03-16 |