NPI | 1184057044 |
---|---|
Former Name | CONNIE FALCON DAUZAT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 1407) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA AP07377) |
363LA2100X Nurse Practitioner, Acute Care (Licence: AK 1407) | |
363LF0000X Nurse Practitioner, Family (Licence: LA AP07377) | |
Enumeration Date | 2013-08-14 |
Last Update Date | 2018-04-16 |