NPI | 1295347946 |
---|---|
Former Name | ROMEDRUDE POMAPHIL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 265806) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11008660) |
363L00000X Nurse Practitioner (Licence: AZ 265806) | |
Enumeration Date | 2020-08-22 |
Last Update Date | 2024-07-31 |