| NPI | 1033876222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP221634) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 348722) |
| Enumeration Date | 2021-11-22 |
| Last Update Date | 2024-10-03 |