NPI | 1881233773 |
---|---|
Former Name | PARIS JAMEKA BLOOMFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 23895) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 26926) |
Enumeration Date | 2019-12-26 |
Last Update Date | 2024-01-03 |