NPI | 1447637244 |
---|---|
Former Name | JESSICA FRANCES MCCARTHY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F350815-01) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 691486) |
Enumeration Date | 2015-04-30 |
Last Update Date | 2022-11-23 |