NPI | 1891127262 |
---|---|
Former Name | VERONICA LYNN MCCOVERY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-098626) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2013-08-07 |
Last Update Date | 2014-11-21 |