NPI | 1407802325 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP81468) |
Additional Taxonomies | 163WU0100X Registered Nurse, Urology (Licence: ME R021829) |
Enumeration Date | 2006-05-25 |
Last Update Date | 2018-04-18 |