NPI | 1679076616 |
---|---|
Former Name | SAYWARD ROSE DRISCOLL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011772) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 261578) |
Enumeration Date | 2018-03-15 |
Last Update Date | 2025-10-12 |