| NPI | 1326303512 |
|---|---|
| Former Name | MIA M PARKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 717745) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 10 290984) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2024-06-24 |