NPI | 1477075323 |
---|---|
Former Name | MONICA LEE SPECHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 22783) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 22783) |
Enumeration Date | 2017-07-12 |
Last Update Date | 2017-11-16 |