NPI | 1164660619 |
---|---|
Former Name | KELLY LAPARADE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP91015) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 060467-23) |
Enumeration Date | 2009-01-21 |
Last Update Date | 2014-02-25 |