NPI | 1104956044 |
---|---|
Former Name | JONI K MCGUIRE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9454912) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 168980) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2017-07-03 |