NPI | 1205992724 |
---|---|
Former Name | LOUISE RUTH WIKERT JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA C054285) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA 054285) |
Enumeration Date | 2006-12-29 |
Last Update Date | 2007-11-26 |