| NPI | 1598305633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ME CNP231438) |
| Additional Taxonomies | 163WL0100X Registered Nurse Lactation Consultant (Licence: NH 076850-21) |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2024-05-03 |