| NPI | 1346663101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ME CNP131111) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: ME 50082) |
| 363LF0000X Nurse Practitioner Family (Licence: NH 070734-23) | |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2023-03-10 |