NPI | 1356649750 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP201515) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 336563) |
Enumeration Date | 2011-03-09 |
Last Update Date | 2024-02-05 |