NPI | 1780283432 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 083784-23) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME 201233) |
Enumeration Date | 2020-10-23 |
Last Update Date | 2023-12-08 |