NPI | 1447768163 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175738) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP181043) |
Enumeration Date | 2018-01-16 |
Last Update Date | 2023-08-01 |