| NPI | 1194162925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP17111) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60385077) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2023-06-30 |