| NPI | 1578013868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH F09161319) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH F09161319) |
| 363LF0000X Nurse Practitioner Family (Licence: ME CNP161190) | |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2021-08-19 |