NPI | 1790955391 |
---|---|
Former Name | PAULA JOYCE BEAUREGARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: RI APRN00871) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN193415) |
Enumeration Date | 2008-03-10 |
Last Update Date | 2018-11-16 |