NPI | 1265473334 |
---|---|
Former Name | JANE W GEORGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WV 26388) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3003P) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2013-10-24 |