NPI | 1366640500 |
---|---|
Former Name | DANETTE MARIE DUGAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP05190) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA RN105325 AP05190) |
Enumeration Date | 2007-07-10 |
Last Update Date | 2024-08-01 |