| NPI | 1275283616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME MA7202726) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 081728-23) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NH 081728-23) | |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2022-11-18 |