| NPI | 1790988913 |
|---|---|
| Former Name | JEAN NEWBY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 7007) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WI 1760-029) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2019-10-16 |