NPI | 1811928393 |
---|---|
Former Name | GAIL STAPLES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MA RN206381) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NH 039055-23) |
Enumeration Date | 2006-07-05 |
Last Update Date | 2016-05-23 |