NPI | 1457744336 |
---|---|
Former Name | LAJUANA MCQUEEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: MD R171824) |
Enumeration Date | 2015-03-16 |
Last Update Date | 2015-03-16 |