NPI | 1366411001 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME AP081086) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME 029171) |
Enumeration Date | 2006-03-15 |
Last Update Date | 2013-03-22 |