NPI | 1881136794 |
---|---|
Former Name | NICHOLA ELENA JOUBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KS 77441) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 113352) |
163W00000X Registered Nurse (Licence: MO 2009017318) | |
Enumeration Date | 2016-11-09 |
Last Update Date | 2018-12-11 |