| NPI | 1518214097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA 2269992) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: ME CNP171013) |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2022-07-21 |