NPI | 1497762256 |
---|---|
Former Name | GRETA L WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R843927) |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2006-08-02 |
Last Update Date | 2017-03-07 |