NPI | 1144815408 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME171694) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11009656) |
Enumeration Date | 2021-03-08 |
Last Update Date | 2025-08-06 |