NPI | 1750060950 |
---|---|
Former Name | MADELINE BUCKLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VT 101.0137297) |
Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: VT 026.0146876) |
Enumeration Date | 2023-07-14 |
Last Update Date | 2025-06-11 |