NPI | 1053745562 |
---|---|
Former Name | MAUREEN BARTON / MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: VT 026-0021192) |
Additional Taxonomies | 163WD0400X Registered Nurse Diabetes Educator (Licence: VT 026-0021192) |
Enumeration Date | 2013-09-03 |
Last Update Date | 2013-09-03 |