NPI | 1871782607 |
---|---|
Former Name | CHRISTINA MARIE DANIEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 273054) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MA 273054) |
Enumeration Date | 2007-10-17 |
Last Update Date | 2010-11-18 |