NPI | 1407307846 |
---|---|
Former Name | JESSICA N POINOOSAMMY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1135828) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-135828) |
Enumeration Date | 2016-10-20 |
Last Update Date | 2023-06-29 |