NPI | 1902569304 |
---|---|
Former Name | JULIA KAY MCLAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95169707) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 95169707) |
Enumeration Date | 2021-10-21 |
Last Update Date | 2024-02-16 |