NPI | 1316229099 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME AP111077) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME R056959) |
Enumeration Date | 2011-09-19 |
Last Update Date | 2011-09-19 |