NPI | 1801123922 |
---|---|
Former Name | JESSICA MICHELLE ROWE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 081302-23) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 166285-030) |
363LF0000X Nurse Practitioner, Family (Licence: NH 081302-23) | |
Enumeration Date | 2009-11-10 |
Last Update Date | 2024-01-17 |