NPI | 1851640114 |
---|---|
Former Name | ELIZZIEBETH CATHARINE JENNINGS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN183843) |
Enumeration Date | 2012-09-02 |
Last Update Date | 2012-09-02 |