NPI | 1376872606 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP91069) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN001615) |
Enumeration Date | 2009-12-16 |
Last Update Date | 2023-01-10 |