NPI | 1316404577 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP201033) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2307891) |
Enumeration Date | 2019-02-25 |
Last Update Date | 2024-05-09 |