NPI | 1225383755 |
---|---|
Former Name | MARGARET C MIRCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71012879A) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2263889) |
Enumeration Date | 2012-07-20 |
Last Update Date | 2022-09-13 |