NPI | 1790151033 |
---|---|
Former Name | ANNA CHRISTINE NUNN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-134687) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-134687) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-08-20 |
Last Update Date | 2016-03-18 |