NPI | 1396934121 |
---|---|
Former Name | MAUREEN ELAINE THUMMEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MN R 167524-3) |
Enumeration Date | 2007-10-17 |
Last Update Date | 2007-10-17 |