| NPI | 1437807955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11027425) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP221104) |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2024-03-07 |