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 |