NPI | 1497972517 |
---|---|
Former Name | EMILY K. PELOQUIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 273920) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 273920) |
363LF0000X Nurse Practitioner, Family (Licence: MA RN273920) | |
363LX0106X Nurse Practitioner, Occupational Health (Licence: MA RN273920) | |
Enumeration Date | 2007-04-19 |
Last Update Date | 2018-05-18 |