| NPI | 1619590247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP201193) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 085449-23) |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2025-07-21 |