NPI | 1306396189 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP251047) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2302939) |
363LF0000X Nurse Practitioner, Family (Licence: NH 087701-23) | |
Enumeration Date | 2016-10-05 |
Last Update Date | 2025-04-15 |