NPI | 1346720109 |
---|---|
Former Name | PAMELA GAYLE GHAREEB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2364656) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95009712) |
Enumeration Date | 2018-08-20 |
Last Update Date | 2023-12-01 |