| NPI | 1073388245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP241179) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 12346725-4405) |
| Enumeration Date | 2023-11-17 |
| Last Update Date | 2024-12-11 |