NPI | 1467846204 |
---|---|
Former Name | VERONICA ECCLES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71005620A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28198380A) |
Enumeration Date | 2015-03-18 |
Last Update Date | 2024-07-12 |