NPI | 1104399302 |
---|---|
Former Name | NADINE VILSAINT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11001483) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9335291) |
Enumeration Date | 2019-01-10 |
Last Update Date | 2019-02-18 |