| NPI | 1225524457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9277496) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME CNP231434) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2023-08-29 |