NPI | 1437396173 |
---|---|
Former Name | SHEILA R HOUSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 2917) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R187936-6) |
Enumeration Date | 2009-01-16 |
Last Update Date | 2020-10-05 |