NPI | 1528729175 |
---|---|
Former Name | JENNIFER HILL DELOACH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0999003-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11014854) |
Enumeration Date | 2022-01-05 |
Last Update Date | 2024-11-11 |