NPI | 1295159085 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 20984) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME CNP141006) |
363LF0000X Nurse Practitioner, Family (Licence: ME CNP141006) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: ME CNP141006) | |
Enumeration Date | 2014-02-13 |
Last Update Date | 2023-02-15 |