NPI | 1629211727 |
---|---|
Former Name | MARGARET ELIZABETH BRALLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5004379) |
Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NC 5004379) |
Enumeration Date | 2009-04-20 |
Last Update Date | 2024-08-20 |