NPI | 1376743153 |
---|---|
Former Name | MIRLENE EXUME |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 137637) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 252947) |
Enumeration Date | 2007-07-20 |
Last Update Date | 2018-06-20 |