NPI | 1134501117 |
---|---|
Former Name | MARIA CATHRINE MCNEIL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: MT 100769) |
Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: MT NUR-RN-LIC-36703) |
Enumeration Date | 2015-06-25 |
Last Update Date | 2021-04-29 |