NPI | 1508273848 |
---|---|
Former Name | NICOLE RENEE PERON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: AZ 267062) |
Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: AZ RN186831) |
367A00000X Advanced Practice Midwife (Licence: AZ TEMP267062) | |
Enumeration Date | 2014-07-18 |
Last Update Date | 2022-06-22 |