NPI | 1982655601 |
---|---|
Former Name | ANN SIMON BORRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 103430) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN103430) |
Enumeration Date | 2006-05-15 |
Last Update Date | 2014-03-13 |