NPI | 1417932906 |
---|---|
Former Name | NANCY T WARREN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP03591) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA RN078437) |
Enumeration Date | 2005-12-07 |
Last Update Date | 2019-08-23 |