NPI | 1356926943 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5020568) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP201508) |
Enumeration Date | 2021-03-15 |
Last Update Date | 2024-10-02 |