NPI | 1326566811 |
---|---|
Former Name | MARILYN HELENE ROYSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 6236) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95140380) |
Enumeration Date | 2017-09-05 |
Last Update Date | 2022-10-04 |