| NPI | 1194155242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 081101-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME CNP191189) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP2085992) | |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2019-09-17 |