| NPI | 1356646970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP231179) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2275150) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 202104115NP-PP) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: ME CNP231179) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2275150) | |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2023-05-28 |