| NPI | 1508207663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 353961) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP131055) |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 061735-23) | |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2024-10-18 |