| NPI | 1477219459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2340384) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP211583) |
| Enumeration Date | 2021-11-13 |
| Last Update Date | 2023-12-19 |