NPI | 1245343573 |
---|---|
Former Name | BEVORLY FHAMORE CAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA RN614337) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA NP 14109) |
Enumeration Date | 2006-08-17 |
Last Update Date | 2014-12-30 |