NPI | 1831514439 |
---|---|
Former Name | MAGLYNE BADEAU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN285418) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 702829) |
164W00000X Licensed Practical Nurse (Licence: NY 314862) | |
Enumeration Date | 2014-02-19 |
Last Update Date | 2024-05-16 |