NPI | 1417500935 |
---|---|
Former Name | ELIZABETH PATRICIA DALEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2272255) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2272255) |
Enumeration Date | 2019-07-23 |
Last Update Date | 2021-01-28 |