NPI | 1447314166 |
---|---|
Former Name | MANOLA KEOPRADIT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024164630) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0001113951) |
Enumeration Date | 2006-12-20 |
Last Update Date | 2011-12-27 |