NPI | 1255034146 |
---|---|
Former Name | JESSICA LEIGH STARFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MN 10034) |
Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: MN 10034) |
Enumeration Date | 2023-03-22 |
Last Update Date | 2023-10-04 |