NPI | 1295700961 |
---|---|
Former Name | MAUREEN G MAYFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA VP006406B) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN324390OL) |
Enumeration Date | 2006-02-17 |
Last Update Date | 2008-01-23 |