NPI | 1699136135 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP161022) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME cnp161022) |
Enumeration Date | 2016-03-11 |
Last Update Date | 2023-06-26 |