NPI | 1841914801 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP231063) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP026374) |
Enumeration Date | 2022-10-03 |
Last Update Date | 2023-08-30 |