| NPI | 1285287813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP251176) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 115344-23) |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2025-11-06 |