NPI | 1063860211 |
---|---|
Former Name | MARCIE JILL KNOX-HART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 322188) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3404) |
363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.023024) | |
Enumeration Date | 2016-05-27 |
Last Update Date | 2025-07-21 |