| NPI | 1508826975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 201650) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME AP081869) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2022-01-14 |