| NPI | 1669445854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL 2683923) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: ME R054382) |
| 363L00000X Nurse Practitioner (Licence: MO 2005032856) | |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2025-08-19 |