NPI | 1952702383 |
---|---|
Former Name | CHRISTINE LOUISE WILLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WX0106X Registered Nurse, Occupational Health (Licence: GA RN242355) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN320388L) |
163WG0100X Registered Nurse, Gastroenterology (Licence: TX 710724) | |
163WP2201X Registered Nurse, Ambulatory Care (Licence: TX 710724) | |
261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NC 227203) | |
Enumeration Date | 2014-09-04 |
Last Update Date | 2014-09-04 |