| NPI | 1962787259 |
|---|---|
| Former Name | JUDITH MCDOWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 18564.1130) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MT 29637) |
| 163W00000X Registered Nurse (Licence: PA RN225404L) | |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2017-03-16 |