| NPI | 1417450602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R197751) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2272241) |
| 163W00000X Registered Nurse (Licence: MD R197751) | |
| 363L00000X Nurse Practitioner (Licence: ME CNP201469) | |
| 363L00000X Nurse Practitioner (Licence: NH 083512-23) | |
| 363L00000X Nurse Practitioner (Licence: MA RN2272241) | |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2023-11-15 |