NPI | 1962889048 |
---|---|
Former Name | DOVIE NILE INES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN2881362) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP2881362) |
Enumeration Date | 2015-04-28 |
Last Update Date | 2019-08-06 |