NPI | 1912261389 |
---|---|
Former Name | JEANETTE MARIE BROERING-HOOKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 360193) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 360193) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 1621) | |
Enumeration Date | 2012-06-29 |
Last Update Date | 2012-06-29 |