NPI | 1972805893 |
---|---|
Former Name | DEVON MARSHALLE RAMBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004878) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 4416) |
Enumeration Date | 2010-11-29 |
Last Update Date | 2017-04-10 |