| NPI | 1508099433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP111083) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9296527) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2022-02-25 |