NPI | 1033169941 |
---|---|
Former Name | JOANNE F. BISHOP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0024165116) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024165116) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2009-09-16 |