NPI | 1972538759 |
---|---|
Former Name | BECKY SUE USREY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 001120) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 2134752) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2014-04-23 |