NPI | 1134468044 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP121118) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP) |
Enumeration Date | 2013-02-13 |
Last Update Date | 2017-09-16 |