NPI | 1790735371 |
---|---|
Former Name | MARGARET A. RAVEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: OK R0084764) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN087532) |
Enumeration Date | 2006-05-12 |
Last Update Date | 2015-09-23 |