NPI | 1114972841 |
---|---|
Former Name | ROXANNA A MCDONALD-EBANKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP 2808122) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL ARNP 2808122) |
363LF0000X Nurse Practitioner, Family (Licence: FL ARNP2808122) | |
Enumeration Date | 2006-05-23 |
Last Update Date | 2015-08-26 |