NPI | 1427324656 |
---|---|
Former Name | MIRANDA FRANCIS HAMMOND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2012008985) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.010340) |
Enumeration Date | 2012-04-02 |
Last Update Date | 2024-01-04 |