NPI | 1386633733 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 083701-23) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME CNP211026) |
363LA2200X Nurse Practitioner, Adult Health (Licence: MA 250366) | |
Enumeration Date | 2005-10-18 |
Last Update Date | 2023-02-17 |