NPI | 1720066145 |
---|---|
Former Name | MARIA T FLANDERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN00627) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 227424) |
Enumeration Date | 2006-01-05 |
Last Update Date | 2018-07-11 |