NPI | 1336606060 |
---|---|
Former Name | EUNICE CARREEN BOYD-MASSAQUOI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0001240) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: DE LG-0001240-NP) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0016090-PMHNP) | |
Enumeration Date | 2019-02-28 |
Last Update Date | 2025-01-03 |