NPI | 1558683128 |
---|---|
Former Name | JENNIFER MARIE EKSTRAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: AK 25117) |
Enumeration Date | 2010-02-23 |
Last Update Date | 2010-02-23 |