NPI | 1821098450 |
---|---|
Former Name | JEANETTE HOTARD PRISCO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA RN067828 AP03912) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP03912) |
Enumeration Date | 2005-07-26 |
Last Update Date | 2022-11-19 |