| NPI | 1508246695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0134983) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP151191) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R182450) | |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2026-01-21 |