NPI | 1255387882 |
---|---|
Former Name | REBECCA JACQUES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 042429-23) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NH 042429-23) |
Enumeration Date | 2006-05-25 |
Last Update Date | 2024-07-29 |