| NPI | 1669206520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP241119) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 112397-23) |
| Enumeration Date | 2024-08-31 |
| Last Update Date | 2026-06-16 |