NPI | 1861990582 |
---|---|
Former Name | KATIE DIANE DUPUIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: MA RN2313978) |
Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: MA RN2313978) |
Enumeration Date | 2018-01-28 |
Last Update Date | 2020-02-20 |