NPI | 1922336452 |
---|---|
Former Name | JENICE D PALACHICK FRANK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024185916) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP010477) |
363LF0000X Nurse Practitioner, Family (Licence: PA SP010477) | |
Enumeration Date | 2009-11-20 |
Last Update Date | 2023-03-07 |