NPI | 1952541781 |
---|---|
Former Name | JEANNE MCDONALD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5004544) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004544) |
Enumeration Date | 2009-03-06 |
Last Update Date | 2022-12-30 |