NPI | 1912316118 |
---|---|
Former Name | MARJORIANN F HART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R220118) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R220118) |
Enumeration Date | 2014-08-13 |
Last Update Date | 2016-08-06 |