NPI | 1740329697 |
---|---|
Former Name | DEANNE CAROL DALPHOND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95002191) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 190745) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2015-12-17 |