| NPI | 1245032440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WR0400X Registered Nurse, Rehabilitation (Licence: ME RN64025) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 114392-23) |
| Enumeration Date | 2025-03-26 |
| Last Update Date | 2025-10-22 |