| NPI | 1063005197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP211371) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-173336) |
| 363L00000X Nurse Practitioner (Licence: GA GAA-NP001269) | |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2025-09-12 |