| NPI | 1649312638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP91057) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 113775-23) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2025-06-02 |