NPI | 1942252457 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: ME AP081631) |
Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: ME R020944) |
Enumeration Date | 2006-05-16 |
Last Update Date | 2013-02-14 |