NPI | 1215029970 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP121029) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VT 101-0020832) |
Enumeration Date | 2006-09-29 |
Last Update Date | 2015-01-29 |