| NPI | 1326491101 |
|---|---|
| Former Name | CLAUDETTE ELORENE NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9268832) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9268832) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2021-05-28 |