NPI | 1013230515 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP111050) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME R057032) |
Enumeration Date | 2010-03-11 |
Last Update Date | 2016-07-13 |