NPI | 1184354011 |
---|---|
Former Name | ANDJIE CASSANDRE FENELON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11020163) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11020163) |
Enumeration Date | 2022-06-14 |
Last Update Date | 2022-07-22 |