NPI | 1881686996 |
---|---|
Former Name | JANET MARIE GALE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 123913) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 123913) |
363LP2300X Nurse Practitioner, Primary Care (Licence: MA 123913) | |
Enumeration Date | 2005-08-16 |
Last Update Date | 2017-03-24 |