NPI | 1992890453 |
---|---|
Former Name | JACQUELYN MARIE ZIRBES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 17736) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP17736) |
363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MN R 109517-3) | |
Enumeration Date | 2006-10-03 |
Last Update Date | 2021-01-08 |