NPI | 1538229646 |
---|---|
Former Name | HELEN DECOT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9451351) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 158284) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2018-08-30 |