NPI | 1497419212 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP211549) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN57976) |
Enumeration Date | 2021-10-27 |
Last Update Date | 2022-02-24 |