NPI | 1881653905 |
---|---|
Former Name | ERICA DEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN233869) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 233869) |
363LF0000X Nurse Practitioner, Family (Licence: MA RN233869) | |
Enumeration Date | 2006-03-18 |
Last Update Date | 2015-11-03 |