NPI | 1508377094 |
---|---|
Former Name | PORSCHE A DOSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 227617) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP135074) |
363LF0000X Nurse Practitioner, Family (Licence: MS 903273) | |
Enumeration Date | 2017-10-24 |
Last Update Date | 2024-08-02 |