NPI | 1568439370 |
---|---|
Former Name | STEPHANIE L SILVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN196436) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 196436) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: MA 196436) | |
Enumeration Date | 2006-03-01 |
Last Update Date | 2018-04-20 |