NPI | 1457744450 |
---|---|
Former Name | GESMENE ULYSSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00557800) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00557800) |
Enumeration Date | 2015-03-15 |
Last Update Date | 2024-07-16 |