| NPI | 1740435288 |
|---|---|
| Former Name | DEIDRE LEANN BALES-POIROT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F383232) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN206703) |
| 163W00000X Registered Nurse (Licence: OK R0101133) | |
| 163W00000X Registered Nurse (Licence: MO 2004014988) | |
| 163W00000X Registered Nurse (Licence: NY 815916) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2004014988) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: OK R0101131) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP10033) | |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2021-06-01 |