| NPI | 1912023482 |
|---|---|
| Former Name | NIEMAH BOURNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R198000) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F430336-1) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2019-10-28 |