| NPI | 1457862450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME RN59628) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 078925-23) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2019-03-29 |