NPI | 1578867966 |
---|---|
Former Name | CORDELIA CHINELO DOWDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 19862) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11000816) |
Enumeration Date | 2010-12-29 |
Last Update Date | 2024-10-04 |