NPI | 1134139728 |
---|---|
Former Name | JOY M MATTHEWS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 1276) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 148076-8) |
Enumeration Date | 2006-08-08 |
Last Update Date | 2023-07-19 |