| NPI | 1639787625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 055625-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP201178) |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2021-07-23 |