NPI | 1396800983 |
---|---|
Former Name | JEANICE D'ANN NOLTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 544682) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 544682) |
Enumeration Date | 2006-12-26 |
Last Update Date | 2007-07-08 |