NPI | 1518953355 |
---|---|
Former Name | PATRICIA ANN BOYLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 403726 1) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 403726 1) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F380936 1) | |
Enumeration Date | 2005-09-27 |
Last Update Date | 2007-07-08 |