| NPI | 1073092979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 13718) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN72869) |
| 363LF0000X Nurse Practitioner, Family (Licence: ME CNP181224) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71005804A) | |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2023-12-20 |