NPI | 1033754643 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: ME CNP211402) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: ME RN62539) |
Enumeration Date | 2019-11-07 |
Last Update Date | 2024-03-11 |