| NPI | 1356749881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 19424) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VT 101-0135184) |
| 363LF0000X Nurse Practitioner, Family (Licence: ME CNP191195) | |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2022-06-21 |