| NPI | 1083458608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 1163123) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP231566) |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2025-01-16 |