NPI | 1245771062 |
---|---|
Former Name | MARGARET ROSETTA BAILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 348123) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 618958) |
Enumeration Date | 2017-03-13 |
Last Update Date | 2022-10-18 |