NPI | 1972058063 |
---|---|
Former Name | NANCY J BOYD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11017844) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-014704) |
Enumeration Date | 2016-08-18 |
Last Update Date | 2023-04-12 |