NPI | 1417944455 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP81508) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME AP081508) |
Enumeration Date | 2005-10-04 |
Last Update Date | 2024-03-28 |