NPI | 1174821961 |
---|---|
Former Name | CELESTE ANN MULE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP06356) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA RN089225) |
Enumeration Date | 2011-03-03 |
Last Update Date | 2023-10-11 |