NPI | 1720254568 |
---|---|
Former Name | ELSIE P REMY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 3368202) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 3368202) |
363LA2200X Nurse Practitioner, Adult Health (Licence: NY F3018991) | |
Enumeration Date | 2008-05-01 |
Last Update Date | 2022-11-30 |