NPI | 1881282820 |
---|---|
Former Name | DARY LOU COUTURIAUX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 70006) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95016294) |
363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95016294) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95016294) | |
Enumeration Date | 2021-01-05 |
Last Update Date | 2024-07-22 |