| NPI | 1649498882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5020840) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95351715) |
| 163W00000X Registered Nurse (Licence: ME RN41134) | |
| 363L00000X Nurse Practitioner (Licence: DE LG-0012831) | |
| 363L00000X Nurse Practitioner (Licence: CA 95027755) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ME CNP81578) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012831) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ME R041134) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2024-12-16 |