NPI | 1023632379 |
---|---|
Former Name | MAITLAND LOUISE FRILOT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: LA 212549) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 212549) |
Enumeration Date | 2020-06-02 |
Last Update Date | 2023-03-07 |