NPI | 1376606509 |
---|---|
Former Name | THERESE ELIZABETH GMEINER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WX0106X Registered Nurse, Occupational Health (Licence: CA 200534) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 1713) |
Enumeration Date | 2006-12-19 |
Last Update Date | 2007-07-08 |