NPI | 1962481283 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME CNP81049) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME AP081049) |
Enumeration Date | 2006-01-13 |
Last Update Date | 2014-10-31 |