| NPI | 1386691483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH 025447-23) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NH 02544723) |
| 363LF0000X Nurse Practitioner Family (Licence: ME CNP131094) | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2023-02-24 |