NPI | 1275649873 |
---|---|
Former Name | LAURIE JEAN NELSON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: MN L0264862) |
Enumeration Date | 2006-08-23 |
Last Update Date | 2007-07-11 |