NPI | 1699104570 |
---|---|
Former Name | MARIE REGINA PARSONS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0000424) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008367) |
Enumeration Date | 2013-11-01 |
Last Update Date | 2021-02-12 |