| NPI | 1033633714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP171115) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2333460) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2024-06-26 |