NPI | 1538119128 |
---|---|
Former Name | PEGGY ANN OQUREK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 1087-033) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 85351-030) |
Enumeration Date | 2006-05-12 |
Last Update Date | 2011-01-28 |