| NPI | 1235481110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP1511148) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F337589-1) |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2018-04-11 |