NPI | 1922366285 |
---|---|
Former Name | JANIE PERING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A158379) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: IA 127068) |
Enumeration Date | 2012-04-24 |
Last Update Date | 2021-12-14 |