NPI | 1285378695 |
---|---|
Former Name | JESSICA CATHERINE NEWTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN278765) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN278765) |
Enumeration Date | 2022-04-21 |
Last Update Date | 2024-04-02 |