NPI | 1629444666 |
---|---|
Former Name | JOSELYN LONDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 7327150) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 7327150-4405) |
Enumeration Date | 2015-08-13 |
Last Update Date | 2018-04-12 |