| NPI | 1538114947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: ME CNP111060) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: VT 1010029268) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2026-05-13 |