| NPI | 1063622009 |
|---|---|
| Former Name | JEAN MICHELLE GAFFGA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP018070) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD AC001104) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 221117) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2019-01-16 |