NPI | 1932501798 |
---|---|
Former Name | BRENDA LYNN MACPHERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN195628) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN195628) |
Enumeration Date | 2014-09-23 |
Last Update Date | 2019-07-05 |