| NPI | 1063676146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN104534) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP231120) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2023-07-03 |