NPI | 1336231133 |
---|---|
Other Name | TERRY KAY MENNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 70000199A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 70000199A) |
Enumeration Date | 2006-09-29 |
Last Update Date | 2010-08-20 |