NPI | 1427433564 |
---|---|
Former Name | JESSICA MARKELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 339754) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 339754) |
Enumeration Date | 2015-07-29 |
Last Update Date | 2016-06-13 |