NPI | 1407857436 |
---|---|
Former Name | JANICE LOUISE EASTERBROOK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP 417392) |
Enumeration Date | 2005-08-01 |
Last Update Date | 2007-07-08 |