NPI | 1891705307 |
---|---|
Former Name | MARY ELIZABETH DOOLITTLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 006357) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 2742) |
363LF0000X Nurse Practitioner, Family (Licence: SC APN2742) | |
Enumeration Date | 2006-08-08 |
Last Update Date | 2016-08-18 |