NPI | 1093478828 |
---|---|
Former Name | SHERMAINE CHLOE TAJOR NEPANGUE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11016076) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11016076) |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN11016076) | |
Enumeration Date | 2021-10-19 |
Last Update Date | 2023-04-25 |