| NPI | 1336843374 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP241783)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11024637)  | 
| Enumeration Date | 2023-03-27 | 
| Last Update Date | 2025-05-09 |