NPI | 1457927998 |
---|---|
Former Name | JOANNA ROSE INMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5014497) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 5014497) |
363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5014497) | |
Enumeration Date | 2021-06-03 |
Last Update Date | 2025-02-19 |