| NPI | 1336249515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: ME R020461) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: ME R020461) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NY F360452-1) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2023-03-07 |