NPI | 1730175712 |
---|---|
Former Name | MARCELLA A HOWARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277000302) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 041279589) |
Enumeration Date | 2005-09-23 |
Last Update Date | 2025-07-28 |