NPI | 1134829849 |
---|---|
Former Name | JESSICA M. MURDOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 26932) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 26932) |
Enumeration Date | 2023-03-09 |
Last Update Date | 2024-10-04 |