| NPI | 1174122667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11016636) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME R054015) |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2024-01-16 |