| NPI | 1174856157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP500014460) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME AP091050) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2024-04-25 |