NPI | 1215341268 |
---|---|
Former Name | CHERYL ANN VAN AKIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NE 111647) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 59307) |
Enumeration Date | 2014-06-18 |
Last Update Date | 2014-06-18 |