NPI | 1205368230 |
---|---|
Former Name | CAMERON MANESS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 20880) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 20880) |
Enumeration Date | 2017-03-29 |
Last Update Date | 2021-06-30 |