NPI | 1922084300 |
---|---|
Former Name | DEBRA A CALDWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN972032) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN972032) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL APRN972032) | |
Enumeration Date | 2005-12-19 |
Last Update Date | 2020-09-14 |