| NPI | 1386971679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: ME CNP111061) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN-280339) |
| Enumeration Date | 2009-11-08 |
| Last Update Date | 2024-08-06 |