NPI | 1497808117 |
---|---|
Former Name | JANE LYNNETTE SEAR FOSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801080952) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704077527) |
Enumeration Date | 2007-01-18 |
Last Update Date | 2007-07-08 |