NPI | 1548242670 |
---|---|
Former Name | JOLEEN COMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 201093) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 22951) |
Enumeration Date | 2005-11-15 |
Last Update Date | 2023-03-07 |