NPI | 1417506312 |
---|---|
Former Name | HADDY MBYE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61221728) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN275551) |
Enumeration Date | 2019-09-04 |
Last Update Date | 2024-06-27 |