NPI | 1124527460 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP181017) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME CNP181017) |
Enumeration Date | 2018-02-01 |
Last Update Date | 2024-03-08 |