| NPI | 1184300816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 080614-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME CNP231276) |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2024-11-11 |