NPI | 1730650359 |
---|---|
Former Name | SARAH DALTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: MA 2277254) |
Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: MA 2277254) |
Enumeration Date | 2018-12-07 |
Last Update Date | 2018-12-07 |