NPI | 1790235232 |
---|---|
Former Name | JENNIFER DOTEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 559045) |
Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: CA 559045) |
Enumeration Date | 2016-10-07 |
Last Update Date | 2016-10-07 |