NPI | 1437433133 |
---|---|
Former Name | DORIS ANNABELLA BLEAH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003718A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003718B) |
Enumeration Date | 2011-09-29 |
Last Update Date | 2021-12-13 |