NPI | 1285967604 |
---|---|
Former Name | GENEVIEVE DEI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN281721) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN281721) |
Enumeration Date | 2009-09-16 |
Last Update Date | 2024-06-05 |