NPI | 1194928408 |
---|---|
Former Name | DESIREE N PUJARI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 271190) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 271190) |
Enumeration Date | 2007-06-06 |
Last Update Date | 2015-01-08 |