NPI | 1881052967 |
---|---|
Former Name | ADELE A LOVE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 11963) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 111963) |
Enumeration Date | 2016-02-04 |
Last Update Date | 2020-12-27 |