| NPI | 1164811709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP221119) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08143) |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2022-08-02 |