| NPI | 1588801773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME 141081) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 186064) |
| Enumeration Date | 2009-01-10 |
| Last Update Date | 2019-04-01 |