NPI | 1669495206 |
---|---|
Other Name | JAYNE SUSAN PRATT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5302) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 0969162 FL) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2019-03-08 |