NPI | 1679669006 |
---|---|
Former Name | ELSIE BARTHELEMY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL arnp9202625) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN 204912) |
363LF0000X Nurse Practitioner, Family (Licence: NY F333182-1) | |
Enumeration Date | 2006-10-05 |
Last Update Date | 2023-07-10 |