NPI | 1710136809 |
---|---|
Former Name | REBECCA JOYCE CREAMEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP4317) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 18543) |
Enumeration Date | 2008-09-12 |
Last Update Date | 2012-04-20 |