NPI | 1679501308 |
---|---|
Former Name | JENNA LYNN MURRAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3007808) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3007808) |
Enumeration Date | 2006-06-29 |
Last Update Date | 2015-08-15 |