NPI | 1396370607 |
---|---|
Former Name | MARIE ANNETTE TWYMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 243646) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 243646) |
363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 243646) | |
Enumeration Date | 2020-03-06 |
Last Update Date | 2023-06-29 |