| 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 |