NPI | 1366745796 |
---|---|
Former Name | VIRGINIA LEIGH BOWERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN285090) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN285090) |
Enumeration Date | 2010-12-07 |
Last Update Date | 2020-10-23 |