| NPI | 1609280866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11036103) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: FL 9374340) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: FL 9374340) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL 9374340) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ME CNP241800) | |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2025-08-05 |