NPI | 1871902635 |
---|---|
Former Name | LINDSY MARY DEGABRIELE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MA RN2284815) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2284815) |
Enumeration Date | 2014-08-06 |
Last Update Date | 2022-07-21 |