NPI | 1912167347 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME R052972) |
Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: ME R052972) |
Enumeration Date | 2008-06-10 |
Last Update Date | 2016-02-12 |