NPI | 1396077632 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 100639) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP151207) |
363LF0000X Nurse Practitioner, Family (Licence: NH 073291-23) | |
Enumeration Date | 2010-02-11 |
Last Update Date | 2017-12-12 |