NPI | 1881090629 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP181140) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME 181140) |
207R00000X Internal Medicine (Licence: ME 181140) | |
Enumeration Date | 2014-11-06 |
Last Update Date | 2023-08-16 |