NPI | 1376266437 |
---|---|
Former Name | JERICA BINNS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 32664) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 2022066506) |
Enumeration Date | 2022-09-23 |
Last Update Date | 2025-01-03 |