NPI | 1275698755 |
---|---|
Former Name | FRANCES MARJORIE MULLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 110588) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NE 110588) |
Enumeration Date | 2006-12-26 |
Last Update Date | 2013-02-13 |