NPI | 1689648487 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME CNP251471) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP1929) |
163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: ME RN098519) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: ME CNP251471) | |
Enumeration Date | 2006-02-16 |
Last Update Date | 2025-09-03 |