NPI | 1467802330 |
---|---|
Former Name | JESSICA NAROMY PHILOGENE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP130853) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9310178) |
163W00000X Registered Nurse (Licence: TX 843463) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP130853) | |
Enumeration Date | 2016-06-21 |
Last Update Date | 2020-03-09 |