NPI | 1134558067 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: ME CNP131104) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: ME RN30940) |
Enumeration Date | 2013-11-01 |
Last Update Date | 2025-01-11 |