NPI | 1881338424 |
---|---|
Former Name | JANENE DANIELLE NESBITT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4351050056) |
Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: MI 4301512871) |
Enumeration Date | 2022-04-20 |
Last Update Date | 2025-06-25 |