NPI | 1356615637 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP221479) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60266342) |
363LF0000X Nurse Practitioner, Family (Licence: OR 201250027NP) | |
Enumeration Date | 2012-03-03 |
Last Update Date | 2023-02-06 |