NPI | 1407401474 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP191208) |
Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: ME RN63885) |
Enumeration Date | 2019-08-07 |
Last Update Date | 2024-10-07 |