NPI | 1205393956 |
---|---|
Former Name | GUERDY MERILAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011906) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 213741) |
Enumeration Date | 2019-02-28 |
Last Update Date | 2021-08-30 |