NPI | 1942403258 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 073254-23) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 672982) |
207Q00000X Family Medicine (Licence: ME AP081841) | |
363LF0000X Nurse Practitioner, Family (Licence: NY F338312) | |
163W00000X Registered Nurse (Licence: ME R051908) | |
Enumeration Date | 2007-06-06 |
Last Update Date | 2022-10-05 |