| NPI | 1184726911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 222915-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME R030681) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2025-06-24 |