| NPI | 1144815408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME171694) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11009656) |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2025-08-06 |