NPI | 1972941821 |
---|---|
Former Name | SHIRLEY JEANNE CAMERON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC SC APRN 18198) |
Enumeration Date | 2013-06-12 |
Last Update Date | 2014-04-09 |