| NPI | 1033214804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME CNP81068) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 042046-23) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VT 101.0114576) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2026-05-13 |