| NPI | 1255743373 |
|---|---|
| Former Name | MANDY GEEO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008712) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 18681) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2019-08-28 |