| NPI | 1023412814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP261285) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F337836-01) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP036750) | |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2026-08-27 |