| NPI | 1316274632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 14415) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: TN 14415) |
| 363LF0000X Nurse Practitioner Family (Licence: ME CNP201161) | |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2023-09-07 |