NPI | 1194140319 |
---|---|
Former Name | JANICE RENEE DEES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP2051512) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2051512) |
Enumeration Date | 2014-02-25 |
Last Update Date | 2021-10-04 |