| NPI | 1386633733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 083701-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME CNP211026) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 250366) | |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2023-02-17 |