| NPI | 1033137229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NH 019403-23) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: ME CNP81670) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2022-02-22 |