NPI | 1013418805 |
---|---|
Former Name | JAIME MURRAY WARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024182578) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 5010500) |
207Q00000X Family Medicine (Licence: TX AP136759) | |
Enumeration Date | 2018-02-27 |
Last Update Date | 2022-05-18 |