NPI | 1427578830 |
---|---|
Former Name | PATRICIA NEWBY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 22790) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TN RN0000083654) |
Enumeration Date | 2017-06-27 |
Last Update Date | 2017-06-27 |