| NPI | 1427044288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP231074) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP114027) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 65006) | |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2024-08-16 |