NPI | 1407458250 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP201135) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME CNP201135) |
Enumeration Date | 2020-11-16 |
Last Update Date | 2021-01-06 |