NPI | 1417308750 |
---|---|
Former Name | BETHANY ANN CROMBIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2296169) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2296169) |
Enumeration Date | 2016-06-28 |
Last Update Date | 2019-06-04 |