NPI | 1376748558 |
---|---|
Other Name | PHARA PAULEMON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 343011) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 2598428) |
363LF0000X Nurse Practitioner, Family (Licence: CT 12.0095564) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: NY 343011) | |
Enumeration Date | 2007-06-18 |
Last Update Date | 2023-10-19 |