NPI | 1730406356 |
---|---|
Former Name | CHRISTINA SUE WARREN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A073427) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A073427) |
Enumeration Date | 2010-04-21 |
Last Update Date | 2024-06-06 |