NPI | 1568843126 |
---|---|
Former Name | DONNA MARIE CLEGG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN00658) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN252453) |
Enumeration Date | 2015-06-09 |
Last Update Date | 2025-04-23 |