| NPI | 1427289511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201150006NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME AP091027) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2018-08-29 |