| NPI | 1003442179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP211597) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 9983-33) |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2023-11-17 |