NPI | 1780660985 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP81278) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME R027174) |
Enumeration Date | 2005-12-20 |
Last Update Date | 2013-02-05 |