NPI | 1083082127 |
---|---|
Former Name | MARNI GREEN BAILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP8061) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8061) |
Enumeration Date | 2015-09-07 |
Last Update Date | 2021-06-06 |