| NPI | 1134165889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH 057151-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: ME CNP81778) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: NH 057151-23) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2022-10-20 |