| NPI | 1538447339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP111055) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 114001-23) |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2025-04-17 |