NPI | 1336843374 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP241783) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11024637) |
Enumeration Date | 2023-03-27 |
Last Update Date | 2025-05-09 |