NPI | 1528118973 |
---|---|
Former Name | ANNE MARIE BERUBE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: RI NPP37381) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MA RN229297) |
Enumeration Date | 2007-01-10 |
Last Update Date | 2015-07-24 |