NPI | 1821297698 |
---|---|
Former Name | GRETTA LYNN NATION |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 138082) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 138082) |
Enumeration Date | 2007-07-12 |
Last Update Date | 2021-03-30 |