| NPI | 1225414840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP211220) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 339971) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2291750) | |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2023-10-03 |