NPI | 1710070768 |
---|---|
Former Name | JEANNE M RHOADES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 28052876) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71001558) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2007-07-08 |