NPI | 1073638268 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ME CNP81230) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN13942) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2014-11-26 |