NPI | 1023267580 |
---|---|
Former Name | ELIZABETH ANNE ST. ONGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN00542) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN49180) |
Enumeration Date | 2008-09-09 |
Last Update Date | 2024-07-03 |