NPI | 1235810912 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1129823) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME CNP251516) |
Enumeration Date | 2023-07-26 |
Last Update Date | 2025-10-14 |