NPI | 1487406286 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP241138) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME RN84622) |
Enumeration Date | 2024-04-04 |
Last Update Date | 2024-07-02 |