| NPI | 1407000128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA 278274) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: ME CNP201456) |
| 363LF0000X Nurse Practitioner Family (Licence: NH 084031-23) | |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2023-11-24 |