NPI | 1417207788 |
---|---|
Former Name | CHRISTINE ANN DUMONT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NH 071322-23) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA 212154) |
Enumeration Date | 2012-09-14 |
Last Update Date | 2024-10-31 |