NPI | 1932193679 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: ME AP081657) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: ME R025924) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2297592) | |
Enumeration Date | 2005-09-08 |
Last Update Date | 2020-05-28 |