NPI | 1154694065 |
---|---|
Former Name | JEANETTE MISSOURI SESSOMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012313) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024169918) |
Enumeration Date | 2012-02-23 |
Last Update Date | 2023-09-14 |