NPI | 1053083402 |
---|---|
Former Name | SEANNA YVONNE ROY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2315932) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2315932) |
Enumeration Date | 2021-10-04 |
Last Update Date | 2024-10-31 |