NPI | 1063485035 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP81059) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: ME CNP81059) |
363LA2200X Nurse Practitioner Adult Health (Licence: ME R046051) | |
Enumeration Date | 2006-02-09 |
Last Update Date | 2021-03-30 |