| NPI | 1417366063 |
|---|---|
| Former Name | JEANNE MAFOKOU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017036737) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R194210) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2022-06-02 |