NPI | 1851549208 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP81932) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME R023797) |
363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9168040) | |
363LF0000X Nurse Practitioner, Family (Licence: ME AP081932) | |
Enumeration Date | 2008-08-27 |
Last Update Date | 2013-03-14 |