NPI | 1265513980 |
---|---|
Former Name | SANDRA JEAN PARRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MI 4704147038) |
Enumeration Date | 2006-10-18 |
Last Update Date | 2020-03-04 |