NPI | 1912239039 |
---|---|
Former Name | DIANE MARIE POMEROY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN235016) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 235016) |
Enumeration Date | 2010-02-01 |
Last Update Date | 2023-03-28 |