NPI | 1013450816 |
---|---|
Other Name | DOROTHY DELISFORT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN141244) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN141244) |
Enumeration Date | 2016-11-28 |
Last Update Date | 2024-04-15 |