NPI | 1366540718 |
---|---|
Former Name | ELAINE K TRAUB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01441) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RNP242601) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2023-12-14 |