| NPI | 1205229135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP191272) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0991682-NP) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2021-01-20 |