NPI | 1740683440 |
---|---|
Former Name | ROBYN LYNN BEAUSOLEIL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN282759) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NH 066799-23) |
Enumeration Date | 2014-10-08 |
Last Update Date | 2022-12-23 |