NPI | 1326155573 |
---|---|
Former Name | FELICIA ANN INMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 14456) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9176222) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2024-04-03 |