NPI | 1982678728 |
---|---|
Former Name | CATHERINE DERANGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP04579) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA RN043817) |
Enumeration Date | 2006-02-16 |
Last Update Date | 2011-06-28 |