NPI | 1265820724 |
---|---|
Former Name | MANDI MINOTT-HARRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9212769) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL ARNP9212769) |
Enumeration Date | 2015-01-06 |
Last Update Date | 2024-06-28 |