NPI | 1982071817 |
---|---|
Former Name | ANTOINETTE PINAULT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209013276) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IA H079427) |
Enumeration Date | 2015-08-26 |
Last Update Date | 2022-04-07 |