| NPI | 1578826863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0996125-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP121045) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: ME CNP121045) | |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2023-09-12 |