NPI | 1598786048 |
---|---|
Former Name | WENDY LYNN STAFFORD BEEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 7950) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2007-07-08 |