NPI | 1235180209 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME AP081472) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME R035354) |
Enumeration Date | 2006-05-15 |
Last Update Date | 2011-11-21 |