NPI | 1134329287 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME AP081857) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NPF95024938) |
Enumeration Date | 2007-07-18 |
Last Update Date | 2025-07-21 |