NPI | 1700428968 |
---|---|
Former Name | JASMINE NAZIRBAGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11003388) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11003388) |
Enumeration Date | 2019-10-09 |
Last Update Date | 2025-01-27 |