NPI | 1841592276 |
---|---|
Former Name | QUALA A MCGHEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95015032) |
Additional Taxonomies | 1710I1002X Military Health Care Provider, Independent Duty Corpsman |
Enumeration Date | 2010-11-17 |
Last Update Date | 2023-10-16 |