NPI | 1962157537 |
---|---|
Former Name | ELIZABETH RITA DOW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA 236859) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NH 073460-23) |
Enumeration Date | 2022-02-12 |
Last Update Date | 2024-07-17 |