NPI | 1679987408 |
---|---|
Former Name | MAUREEN A CUNNINGHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP566) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN136378) |
Enumeration Date | 2014-06-19 |
Last Update Date | 2023-02-21 |