| NPI | 1538465695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 310318) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME AP111005) |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2024-08-09 |