NPI | 1689032740 |
---|---|
Former Name | LAURELIA DELINOIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132404) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F3402971) |
Enumeration Date | 2016-02-04 |
Last Update Date | 2020-06-29 |