NPI | 1518007780 |
---|---|
Former Name | MARCIE KAY HARVEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 334503) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 334503) |
Enumeration Date | 2007-02-07 |
Last Update Date | 2022-03-09 |