NPI | 1710686944 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP221577) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME RN68411) |
Enumeration Date | 2023-02-27 |
Last Update Date | 2023-06-05 |