| NPI | 1194267450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP161173) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 117398-23) |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2026-05-18 |