NPI | 1386027944 |
---|---|
Former Name | CATHERINE ROSE BUCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP015149) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA SP015149) |
Enumeration Date | 2015-07-01 |
Last Update Date | 2024-02-20 |