| NPI | 1962690271 |
|---|---|
| Former Name | DEVON THOMSON DICLERICO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 267790) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI NPP37706) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2020-11-03 |