| NPI | 1386026698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP151075) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 22199) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2020-02-19 |