| NPI | 1891867743 |
|---|---|
| Former Name | CONNIE EDGIL MCINTOSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN RN0000140269) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9249931) |
| 363L00000X Nurse Practitioner (Licence: TN APN0000008429) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2025-09-11 |