| NPI | 1235533415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP161017) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 5956) |
| Enumeration Date | 2014-10-16 |
| Last Update Date | 2023-10-03 |