NPI | 1952830168 |
---|---|
Former Name | JAQUETA ANTANINA ALGEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006450) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017014619) |
363LF0000X Nurse Practitioner, Family (Licence: NV 872356) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F405824) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ TELE310454) | |
Enumeration Date | 2017-06-09 |
Last Update Date | 2024-07-12 |