| NPI | 1154847309 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 309652) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME CNP171057) | 
| Enumeration Date | 2017-08-18 | 
| Last Update Date | 2024-07-17 |