NPI | 1578085544 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: ME CNP171072) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME CNP171072) |
Enumeration Date | 2017-07-12 |
Last Update Date | 2025-08-04 |