NPI | 1417220021 |
---|---|
Former Name | ANNE M SWANSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 4750-33) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 4750-33) |
Enumeration Date | 2012-02-13 |
Last Update Date | 2022-05-03 |