NPI | 1235651498 |
---|---|
Former Name | CARMESHIA MICHELLE QUINN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 901766) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 901766) |
Enumeration Date | 2017-07-10 |
Last Update Date | 2021-10-20 |