| NPI | 1235643990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP241177) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134895) |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2025-03-24 |