NPI | 1578738183 |
---|---|
Former Name | ELIZABETH BASSEY-JACOB DUKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL RN9534505) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2008-04-24 |
Last Update Date | 2023-03-09 |