NPI | 1518060136 |
---|---|
Former Name | JOSEPHINE ELEANOR SWANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TN APN0000005403) |
Enumeration Date | 2006-09-07 |
Last Update Date | 2007-07-08 |