| NPI | 1467736355 |
|---|---|
| Former Name | BONNIE SUE POYTRESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 737631) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 20329) |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2011-10-11 |