| NPI | 1629518519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP181259) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 075242-23) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2024-01-31 |