NPI | 1740833441 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP221232) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 194288) |
Enumeration Date | 2019-07-22 |
Last Update Date | 2025-02-04 |