NPI | 1376155044 |
---|---|
Former Name | JOAN M MARKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024180471) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001228947) |
Enumeration Date | 2020-08-23 |
Last Update Date | 2021-04-05 |