NPI | 1215179924 |
---|---|
Other Name | JIM SANDERS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: TN APN14051) |
Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: TN RN0000087700) |
Enumeration Date | 2009-03-26 |
Last Update Date | 2019-07-17 |