NPI | 1992072029 |
---|---|
Former Name | BEVERLY MCPHERSON GREGORY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC F0811319) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 153196) |
Enumeration Date | 2011-11-17 |
Last Update Date | 2016-03-11 |