NPI | 1386692903 |
---|---|
Former Name | JANET DEWITT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F330944) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 330944) |
Enumeration Date | 2006-05-05 |
Last Update Date | 2019-04-22 |