| 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 |