NPI | 1871333948 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 12789) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP241280) |
Enumeration Date | 2024-05-28 |
Last Update Date | 2025-08-29 |