| NPI | 1154771244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN250610) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP211281) |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 084003-23) | |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2023-11-22 |