| NPI | 1730120858 |
|---|---|
| Former Name | JUDITY ELAINE NEAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-100356) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MT 24990) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2023-12-07 |