| NPI | 1659745263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 086110-23) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME CNP151174) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2021-10-07 |