NPI | 1669664876 |
---|---|
Former Name | ROCHELLE ROCHA SANDIFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R863887) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 863887) |
Enumeration Date | 2007-08-11 |
Last Update Date | 2023-01-30 |