NPI | 1811010580 |
---|---|
Former Name | JO LEAH C BIRCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: TX 623984) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 623984) |
163WX0800X Registered Nurse, Orthopedic (Licence: TX 623984) | |
Enumeration Date | 2007-04-09 |
Last Update Date | 2007-10-19 |