NPI | 1235509423 |
---|---|
Former Name | FRANCISCA EZEDI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2264918) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2264918) |
Enumeration Date | 2015-09-30 |
Last Update Date | 2025-05-08 |