NPI | 1912175266 |
---|---|
Former Name | JAMICE L BONICA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP 2979282) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP 2979282) |
Enumeration Date | 2008-02-20 |
Last Update Date | 2008-02-20 |