NPI | 1750496873 |
---|---|
Other Name | JIM LEROY EHLERS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 70917-030) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 51-033) |
Enumeration Date | 2006-08-20 |
Last Update Date | 2012-03-22 |