| NPI | 1639131147 |
|---|---|
| Former Name | MARIE SCOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: WI 5389-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 102681) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2013-09-09 |